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Pulmonale Rehabilitation

Vom „gefährlichen“ Training zum Wegbereiter des modernen COPD-Managements

Pulmonary rehabilitation

From “dangerous” training to forerunner of modern COPD management

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Der Pneumologe Aims and scope

Zusammenfassung

Die pulmonale Rehabilitation (PR) hat sich dank ihrer Wirksamkeit und der Berücksichtigung der systemischen Effekte der COPD von der Trainingstherapie zu einer umfassenden Behandlung der COPD entwickelt. Sie initiiert oft das Krankheitsmanagement im Alltag und legt den Grundstein für die Erhaltung und Verbesserung der Lebensqualität, Leistungsfähigkeit und Verhinderung von Exazerbationen. Für alle COPD-Patienten gibt es eine Trainingsform, welche sie tolerieren und die wirksam ist. Daher sollte auch Patienten mit stark eingeschränkter Lungenfunktion, starker Atemnot und tiefer körperlicher Aktivität eine PR angeboten werden. Die körperliche Aktivität ist aus Patientensicht sehr wichtig und stark mit Exazerbationen und der Mortalität assoziiert. Es gibt noch wenig Evidenz, wie die körperliche Aktivität im Alltag erhöht werden kann, doch werden laufende Studien zeigen, ob Aktivitätsmesser, Stadtparcours oder telemedizinische Maßnahmen wirksam sind.

Abstract

Due to its proven effectiveness pulmonary rehabilitation has transformed from training therapy to a comprehensive management of COPD. Pulmonary rehabilitation often initiates chronic disease management and represents the basis for maintaining and improving quality of life and exercise capacity and the prevention of exacerbations. There are effective and safe training modalities for any COPD patient irrespective of disease severity. Therefore, pulmonary rehabilitation should be offered to all patients with impaired lung function, dyspnea or low exercise capacity. Physical activity is important from the patients’ perspective and is strongly associated with exacerbations and mortality. Evidence on interventions to enhance physical activity is still scarce but current studies will inform if the use of activity monitors, urban training or telehealth interventions are effective to improve physical activity in daily life.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. M. Puhan gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Institut für Epidemiologie, Biostatistik und Prävention, Universität Zürich, Hirschengraben 84, 8001, Zürich, Schweiz

    M. Puhan

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  1. M. Puhan
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Correspondence to M. Puhan.

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Puhan, M. Pulmonale Rehabilitation. Pneumologe 12, 197–202 (2015). https://doi.org/10.1007/s10405-014-0844-2

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